Individual
DR. KEITH D STEWART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2401 W MAIN ST, MARION, IL 62959-1188
(618) 993-4109
Mailing address
2401 W MAIN ST, MARION, IL 62959-1188
(618) 993-4109
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019-020295
IL
Other
Enumeration date
12/22/2005
Last updated
12/21/2016
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